Provider Demographics
NPI:1568447902
Name:TROUTMAN, DAVID NEAL (DDS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:NEAL
Last Name:TROUTMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2773 ASHTON LN
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-7902
Mailing Address - Country:US
Mailing Address - Phone:865-908-5389
Mailing Address - Fax:
Practice Address - Street 1:430 COLLEGE ST
Practice Address - Street 2:COCKE COUNTY HEALTH DEPT
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-3752
Practice Address - Country:US
Practice Address - Phone:423-623-8733
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS4538122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist